RT Journal Article SR Electronic T1 Polymyalgia rheumatica: Clinical presentation is key to diagnosis and treatment JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 489 OP 495 VO 71 IS 6 A1 Mandell, Brian F. YR 2004 UL http://www.ccjm.org/content/71/6/489.abstract AB Polymyalgia rheumatica should be considered in the differential diagnosis in patients over 50 years old who present with bilateral achiness and stiffness in the shoulders or hips or both. It usually responds quickly to once-daily, low-dose prednisone, but some patients require treatment for several years. Polymyalgia rheumatica frequently overlaps with giant cell arteritis, and patients must be followed closely for development of complications from this condition, especially aortitis.